Translation, cross-cultural adaption and validation of the German version of the Foot and Ankle Ability Measure for patients with chronic ankle instability

2009 ◽  
Vol 45 (10) ◽  
pp. 785-790 ◽  
Author(s):  
T. Nauck ◽  
H. Lohrer
Keyword(s):  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Cross Cultural ◽  
German Version ◽  
Foot And Ankle ◽  
Cultural Adaption ◽  
Ability Measure

scholarly journals Predicting Manual Therapy Treatment Success in Patients With Chronic Ankle Instability: Improving Self-Reported Function

2017 ◽  
Vol 52 (4) ◽  
pp. 325-331 ◽  
Author(s):  
Erik A. Wikstrom ◽  
Patrick O. McKeon
Keyword(s):  
Ankle Instability ◽  
Weight Bearing ◽  
Treatment Success ◽  
Chronic Ankle Instability ◽  
Response Analysis ◽  
Controlled Clinical Trial ◽  
Foot And Ankle ◽  
Minimally Clinically Important Difference ◽  
Medicine Research ◽  
Ability Measure

Context:  Therapeutic modalities that stimulate sensory receptors around the foot-ankle complex improve chronic ankle instability (CAI)–associated impairments. However, not all patients have equal responses to these modalities. Identifying predictors of treatment success could improve clinician efficiency when treating patients with CAI. Objective:  To conduct a response analysis on existing data to identify predictors of improved self-reported function in patients with CAI. Design:  Secondary analysis of a randomized controlled clinical trial. Setting:  Sports medicine research laboratories. Patients or Other Participants:  Fifty-nine patients with CAI, which was defined in accordance with the International Ankle Consortium recommendations. Intervention(s):  Participants were randomized into 3 treatment groups (plantar massage [PM], ankle-joint mobilization [AJM], or calf stretching [CS]) that received six 5-minute treatments over 2 weeks. Main Outcome Measure(s):  Treatment success, defined as a patient exceeding the minimally clinically important difference of the Foot and Ankle Ability Measure–Sport (FAAM–S). Results:  Patients with ≤5 recurrent sprains and ≤82.73% on the Foot and Ankle Ability Measure had a 98% probability of having a meaningful FAAM–S improvement after AJM. As well, ≥5 balance errors demonstrated 98% probability of meaningful FAAM–S improvements from AJM. Patients <22 years old and with ≤9.9 cm of dorsiflexion had a 99% probability of a meaningful FAAM–S improvement after PM. Also, those who made ≥2 single-limb–stance errors had a 98% probability of a meaningful FAAM–S improvement from PM. Patients with ≤53.1% on the FAAM–S had an 83% probability of a meaningful FAAM–S improvement after CS. Conclusions:  Each sensory-targeted ankle-rehabilitation strategy resulted in a unique combination of predictors of success for patients with CAI. Specific indicators of success with AJM were deficits in self-reported function, single-limb balance, and <5 previous sprains. Age, weight-bearing–dorsiflexion restrictions, and single-limb balance deficits identified patients with CAI who will respond well to PM. Assessing self-reported sport-related function can identify CAI patients who will respond positively to CS.

Foot and Ankle Ability Measure Scores in Patients with Chronic Ankle Instability Following Joint Mobilization

2013 ◽  
Vol 18 (2) ◽  
pp. 4-7 ◽  
Author(s):  
Megan N. Houston ◽  
Patrick O. McKeon ◽  
Matthew C. Hoch
Keyword(s):  
Outcome Measures ◽  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Foot And Ankle ◽  
Functional Impairments ◽  
Talocrural Joint ◽  
Physically Active ◽  
Joint Mobilization ◽  
Heavy Work ◽  
Ability Measure

Context:Following joint mobilizations, individuals with chronic ankle instability (CAI) have reported increased self-reported function as measured by the Foot and Ankle Ability Measure (FAAM).Objective:To examine the effect of a 2-week talocrural joint mobilization intervention on individual items of the FAAM in physically active adults with CAI.Participants:Twelve adults with CAI.Intervention:Self-reported function was documented with the FAAM-ADL and FAAM-Sport at preintervention and at 1-week postintervention. The joint mobilization intervention consisted of six treatments over 2 weeks. During each treatment, subjects received 4 minutes of talocrural traction and 8 minutes of Maitland Grade-III anterior-to-posterior talocrural joint mobilization.Main Outcome Measures:Participants completed the 21-item FAAM-ADL and 8-item FAAM-Sport.Results:Signifcant changes were detected between preintervention and 1-week follow-up measures for “Walking on even ground” (p= 0.06), “Going down stairs” (p= 0.07), “Walking on uneven ground” (p= 0.03), “Light to moderate work” (p= 0.06), “Heavy work” (p= 0.03), “Recreational activity” (p= 0.07), “Landing” (p= 0.03), “Low impact activities” (p= 0.07), and “Cutting” (p= 0.02). No signifcant changes were identifed in the other 20 items (p> 0.10).Conclusion:The fndings suggest talocrural joint mobilization may address specifc mechanical and functional impairments associated with the aforementioned tasks during physical activity.

scholarly journals Validity of the Foot and Ankle Ability Measure in Athletes With Chronic Ankle Instability

2008 ◽  
Vol 43 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Christopher R. Carcia ◽  
RobRoy L. Martin ◽  
Joshua M. Drouin
Keyword(s):  
Athletic Training ◽  
National Collegiate Athletic Association ◽  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Foot And Ankle ◽  
Functional Deficits ◽  
Outcome Instrument ◽  
Global Ratings ◽  
Specific Outcome ◽  
Ability Measure

Abstract Context: The Foot and Ankle Ability Measure (FAAM) is a region-specific, non–disease-specific outcome instrument that possesses many of the clinimetric qualities recommended for an outcome instrument. Evidence of validity to support the use of the FAAM is available in individuals with a wide array of ankle and foot disorders. However, additional evidence to support the use of the FAAM for those with chronic ankle instability (CAI) is needed. Objective: To provide evidence of construct validity for the FAAM based on hypothesis testing in athletes with CAI. Design: Between-groups comparison. Setting: Athletic training room. Patients or Other Participants: Thirty National Collegiate Athletic Association Division II athletes (16 men, 14 women) from one university. Main Outcome Measure(s): The FAAM including activities of daily living (ADL) and sports subscales and the global and categorical ratings of function. Results: For both the ADL and sports subscales, FAAM scores were greater in healthy participants (100 ± 0.0 and 99 ± 3.5, respectively) than in subjects with CAI (88 ± 7.7 and 76 ± 12.7, respectively; P < .001). Similarly, for both ADL and sports subscales, FAAM scores were greater in athletes who indicated that their ankles were normal (98 ± 6.3 and 96 ± 6.9, respectively) than in those who classified their ankles as either nearly normal or abnormal (87 ± 6.6 and 71 ± 11.1, respectively; P < .001). We found relationships between FAAM scores and self-reported global ratings of function for both ADL and sports subscales. Relationships were stronger when all athletes, rather than just those with CAI, were included in the analyses. Conclusions: The FAAM may be used to detect self-reported functional deficits related to CAI.

Development of the Quick-FAAM: A Preliminary Shortened Version of the Foot and Ankle Ability Measure for Chronic Ankle Instability

2016 ◽  
Vol 21 (4) ◽  
pp. 45-50 ◽  
Author(s):  
Matthew C. Hoch ◽  
Johanna M. Hoch ◽  
Megan N. Houston
Keyword(s):  
Internal Consistency ◽  
Ankle Instability ◽  
Short Form ◽  
Patient Reported Outcome ◽  
Chronic Ankle Instability ◽  
Foot And Ankle ◽  
Study Objective ◽  
Patient Reported ◽  
Administration Time ◽  
Ability Measure

The study objective was to develop a shortened version of the Foot and Ankle Ability Measure (FAAM) for individuals with chronic ankle instability (CAI). Forty individuals with CAI completed the FAAM Activities of Daily Living and Sport subscales and the Short Form-12. Analyses were completed for item reduction followed by dimensionality, coverage redundancy, and internal consistency of a reduced-item instrument. Validity was examined through correlations with the original FAAM and Short Form-12. A 12-item FAAM was created which demonstrated strong internal consistency and convergent/divergent validity. The Quick-FAAM may provide an alternative patient-reported outcome for CAI which requires less administration time.

Comparison of Two Rehabilitation Protocols on Patient- and Disease-Oriented Outcomes in Individuals With Chronic Ankle Instability

2017 ◽  
Vol 22 (3) ◽  
pp. 57-65 ◽  
Author(s):  
Kyle Kosik ◽  
Masafumi Treada ◽  
Ryan McCann ◽  
Samantha Boland ◽  
Phillip A. Gribble
Keyword(s):  
Ankle Instability ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Intervention Programs ◽  
Foot And Ankle ◽  
Balance Test ◽  
Randomized Controlled ◽  
Rehabilitation Protocols ◽  
Main Effect ◽  
Ability Measure

Proximal neuromuscular alterations are hypothesized to contribute to the patient- and disease-oriented deficits observed in CAI individuals. The objective was to compare the efficacy of two 4-week intervention programs with or without proximal joint exercises. Twenty-three individuals with CAI completed this single-blinded randomized controlled trial. Outcome measures included the Star Excursion Balance Test (SEBT) and the Foot and Ankle Ability Measure (FAAM). A time main effect was observed for the FAAM-ADL (p = .013), FAAM-Sport (p = .012), and posteromedial (p = .04) and posterolateral (p = .003) SEBT reach directions. No group main effect or time by group interaction was found. Four weeks of supervised rehabilitation improved self-reported function and dynamic balance in people with CAI.

scholarly journals The Effect of Peroneal Muscle Strength on Functional Outcomes After the Modified Broström Procedure for Chronic Ankle Instability

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0019
Author(s):  
Byung-Ki Cho ◽  
Seung-myung Choi
Keyword(s):  
Muscle Strength ◽  
Functional Outcomes ◽  
Ankle Instability ◽  
Peak Torque ◽  
Chronic Ankle Instability ◽  
Functional Evaluation ◽  
Foot And Ankle ◽  
Patient Reported ◽  
Functional Outcome Measures ◽  
Modified Broström Procedure

Category: Sports Introduction/Purpose: Although the peroneal muscle is known to be a major dynamic lateral stabilizer of the ankle, few informations are available regarding the changes of muscle strength and relationship with the outcomes after lateral ligaments repair surgery. The purpose of this study was to identify the effects of peroneal strength on the validated functional outcome measures after the modified Broström procedure(MBP) for chronic ankle instability. Methods: Forty-one patients (41 ankles) underwent MBP using suture anchors were eligible and followed up to 2 years postoperatively. Functional evaluation consisted of the Foot and Ankle Outcome Score(FAOS), Foot and Ankle Ability Measure(FAAM). The changes of peroneal strength were evaluated using isokinetic dynamometer. Differences in the functional outcomes between the 3 groups divided according to recovery rate of peroneal strength were analysed. Results: Peak torque and total work for eversion in 60º/sec angular velocity significantly improved from a mean 8.1 Nm, 5.2 Nm preoperatively to 11.4 Nm, 6.9 Nm at postoperative 2 years, respectively (P < .001, P = .038). Deficit ratio of peak torque for eversion significantly improved from a mean 38.6% to 17.4%, and a significant side to side difference was found (P = .011). There were no significant differences in FAOS, FAAM, and measurements of stress radiograph between the 3 groups. Conclusion: Although restoration of peroneal strength postoperatively was about 82.6% of unaffected ankle, patient-reported function in daily and sport activities were satisfactorily improved. Postoperative isokinetic strength of the peroneus demonstrated no statistically significant effects on the functional outcomes after MBP.

scholarly journals Abnormalities of foot and ankle alignment in individuals with chronic ankle instability: a systematic review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Takumi Kobayashi ◽  
Yuta Koshino ◽  
Takahiro Miki
Keyword(s):  
Systematic Review ◽  
Internal Rotation ◽  
Methodological Quality ◽  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Control Group ◽  
Foot And Ankle ◽  
Anterior Displacement ◽  
Foot Posture

Abstract Background To prevent recurrent ankle sprain, it is important to clarify the pathology of chronic ankle instability (CAI). An association has been reported between CAI and abnormalities of foot posture and ankle alignment. There is no consensus on the types of these abnormalities that occur in individuals with CAI. The objective of this systematic review is to clarify the relevance of abnormality of foot posture and ankle alignment for CAI. Methods A systematic computerized literature search was performed of the PubMed, CINAHL, SPORTDiscus, Web of Science, and the Cochrane Register of Clinical Trials databases. The selected studies either compared CAI patients with a control group or CAI ankles with contralateral healthy ankles and specifically reported foot posture and alignment of the ankle in the outcomes. They were written in English and published prior to June 2021. The methodological quality of the included studies was evaluated using a 16-question index. Data were extracted independently by two reviewers, and the certainty of evidence was assessed using GRADE approach. Results Sixteen studies including 872 patients of high to low methodological quality were included. These showed there was significant anterior displacement and internal rotation of the talus in CAI ankles (low evidence), but there was no consensus on fibular alignment or foot posture. Conclusions This review showed there was significant anterior displacement and internal rotation of the talus in CAI ankles but found no consensus on the characteristics of fibular and foot alignment. Further investigations are required to clarify the characteristic foot and ankle malalignment in CAI to facilitate the development of efficient interventions.

Isometric Hip Strength and Patient-Reported Outcomes of Individuals With and Without Chronic Ankle Instability

2021 ◽  
pp. 1-7
Author(s):  
Katherine A. Bain ◽  
Paige A. Clawson ◽  
Stacey A. Slone ◽  
Phillip A. Gribble ◽  
Johanna M. Hoch ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Peak Torque ◽  
Group Differences ◽  
Foot And Ankle ◽  
Fear Avoidance ◽  
Hip Strength ◽  
Fear Avoidance Beliefs ◽  
Patient Reported ◽  
Ability Measure ◽  
Fear Avoidance Beliefs Questionnaire

Context: Strength deficits and decreased scores on generic, dimension-specific, and region-specific health-related quality of life (HRQL) PRO measures are commonly documented among individuals with chronic ankle instability (CAI). However, it is unknown if there is a relationship between hip strength and self-reported patient-reported outcome (PRO) scores. Objective: To compare isometric peak torque for hip-extension (H-EXT) and hip-abduction (H-ABD), as well as PRO scores between CAI, lateral ankle sprain copers (LAS copers), and uninjured controls (UC). The secondary purpose was to examine the relationship between isometric hip peak torque and PROs in participants with CAI. Design: Cross-sectional. Setting: Laboratory. Participants: Sixty-three individuals, 45 women (23.02 [3.83] y, 165.91 [7.55] cm, 67.28 [11.95] kg) and 18 men (26.28 [5.43] y, 179.28 [9.01] cm, 83.87 [13.26] kg), grouped as uninjured control (n = 26), LAS coper (n = 15), or CAI (n = 22). Main Outcome Measures: The Foot and Ankle Ability Measure was used to assess region-specific HRQL. The Fear Avoidance Beliefs Questionnaire was used to assess injury-related fear. The Disablement in Physically Active was used to assess global HRQL. Isometric peak torque was measured with a handheld dynamometer for H-EXT and H-ABD. Results: No group differences were observed for H-ABD (P = .34) or H-EXT (P = .35). The CAI group had significantly worse scores on all PROs compared with LAS coper (P < .001) and HC (P < .001). Moderate–weak correlations were found between H-ABD and Foot and Ankle Ability Measure—activities of daily living (P = .047; ρ = .392) and Foot and Ankle Ability Measure-Sport (P = .013; ρ = .482) and H- EXT and Fear Avoidance Beliefs Questionnaire-Work (P = .007; ρ = −.517). Conclusions: Individuals with CAI displayed lower HRQL based on worse scores on generic, dimension-specific, and region-specific PROs compared with LAS copers and uninjured controls. There were no significant between-group differences for H-EXT and H-ABD isometric peak torque production, but there was a moderate positive relationship between isometric H-ABD and self-reported ankle disability in individuals with CAI.

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